Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.33 / $2,289.62 / $4,100.00	Facility		$739.33	$2,289.62	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,835.00 / $1,835.00 / $1,835.00	Facility	50	$1,835.00	$1,835.00	$1,835.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $538.23 / $1,297.77	Professional		$265.48	$538.23	$1,297.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.91 / $293.66 / $603.00	Professional		$282.91	$293.66	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $629.00 / $2,222.32	Professional		$272.26	$629.00	$2,222.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.69 / $984.02 / $1,934.95	Professional		$547.69	$984.02	$1,934.95
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.40 / $2,033.80 / $2,608.79	Professional		$797.40	$2,033.80	$2,608.79